Lourdes Wallace, AGACNP-BC
NPI 1659773869 · Adult Health Nurse Practitioner · Boerne, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lourdes Wallace, AGACNP-BC is a Adult Health Nurse Practitioner provider in Boerne, TX (NPI 1659773869).
Provider details
- NPI number
- 1659773869
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN860816 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 10004 Johns RdBoerne, TX 78006-8811Phone: (830) 267-4575Fax: (830) 267-4575
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2020-09-03
- Certified
- 2020-09-03
Frequently asked questions
- What is Lourdes Wallace's NPI number?
- Lourdes Wallace's National Provider Identifier (NPI) is 1659773869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lourdes Wallace's specialty?
- Lourdes Wallace is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lourdes Wallace located?
- Lourdes Wallace's practice location on file with NPPES is 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683.
- What is Lourdes Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lourdes Wallace is (830) 267-4575.
- Does Lourdes Wallace accept Medicare?
- Lourdes Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lourdes Wallace's NPI active?
- Yes — Lourdes Wallace's NPI (1659773869) is active in the NPPES registry as of the last update on 2020-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.